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APPLICA�N FOR ELECTRICAL�r�ERMIT <br /> cm oF eveR�r <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVEREIT, WA 98201 � <br /> PHONE:(425)257-8810 <br /> FAX: (425)257-8857 <br /> ��1C� I C'� ��'A ►'lc� - Roo0�- 03�. <br /> PROJECT ADDRESS <br /> �.l. .. „ w•�� <br /> Owner Mail AdUress Ciry Slate2ip Phone <br /> Tenant Mail Address Ciry StatelZip Phone <br /> �� �. r`�i i � � ��c`C'I( (93�• lj�()r 11�E, ! 'K' S7i��+r-�).� l�` !4 9 , �S}� �lZS-33f-3�/� <br /> Electrical Coniractor Mail Address City State/Zip � Phone <br /> i�l�, � � :�z�I c' I� ��r.�' , �� <br /> State License Number Contract Pnce of Work <br /> �<����il�l � � n;,�� r �� �v� A � <br /> Propo ed Use of Building - Corlj cl Per n (Plan Review) <br /> Description of Work to Be Done: L`% � L�f i l i t% L• � ��� 1 �I ti �( l ) � c'� . � <br /> 1 �, a w.., S�N�nP r J rl i �' 3 <br /> I�U n �s - SPrui�� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST 8E <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANB BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL 8E REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO 8E IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABCUE THE FLOOR. WAC 51-20 SEC. 3106(c)2. I <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE �E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> i <br /> ! HEREBY CERTIFY THAT! HAVE FEAD AND EXAMINED TNIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL I <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERN/NG THIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PEAMIT DOES NOT PRESUME TO GIVE AUTFIOFITY TO V/OLATE OF CANCEL THE PFOVISIONS OF ANY OTHER <br /> STATE OF LOCAL WlM1 FEGULA7ING CONSTRUCTION OR THE PEFFORh1ANCE OF CONSTFUCTION. THAT I AM AUTHOFIZED BY THE <br /> OWNER OF THIS FAOPERTY TO PEFFORM THE WORK FOR WHlCH APPLICATICN IS iL1ADE AND I COh9PLY WITN THE STATE <br /> CONTRACTORS L.7W 1827 FCW AND 296.200 WAC. <br /> � � ` �r, FEE � ,� � , <br /> 0 <br /> SiBnaWre Date <br /> ELECAP(REV898� � �/D�-DI�� <br />